GERALD RALPH JOHNSON (NPI# 1740729920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740729920 |
| Entity Type | Individual |
| Full Name | GERALD RALPH JOHNSON |
| Credential | RPH |
| Practice Address |
1909 214th St Se Suite 300 Bothell WA 98021-4412 |
| Practice Telephone | 4254126335 |
| Practice Fax Number | 4254126339 |
| Mailing Telephone | 4254126335 |
| Mailing Fax Number | 4254126339 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00011249 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396897252 | Gerald Allen Johnson | Chiropractor | 8103 Highway 72 W Ste B, Madison, AL 35758-9529 | 2007-01-18 |
| 1194772178 | Gerald Johnson | Pediatrics | 6148 Lee Hwy Ste 206, Chattanooga, TN 37421 | 2006-05-27 |
| 1215908975 | Gerald F Johnson | Dentist | Psc 827 Box 543, Fpo, AE 09617 | 2006-01-31 |
| 1346210465 | Gerald T. Johnson | Optometrist | 174 State Highway 94, Blairstown, NJ 07825 | 2006-01-23 |
| 1114369840 | Gerald Dale Johnson | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-07-23 |
| 1922247600 | Gerald Johnson | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2009-02-19 |
| 1922115724 | Gerald R Johnson | Physical Therapist | 1300 Egg Harbor Rd Ste 108, Sturgeon Bay, WI 54235-1284 | 2006-08-25 |
| 1609887835 | Gerald Palmer Johnson | Dentist | 415 Brockman Mcclimon Rd, Greer, SC 29651-6608 | 2006-08-11 |
| 1093739716 | Gerald Jerard Johnson | Internal Medicine | 5252 W University Dr, Attn: Mkipcu, Mckinney, TX 75071-7822 | 2006-07-26 |
| 1083637615 | Gerald Timothy Johnson | Radiology | 5101 Willow Springs Rd, La Grange, IL 60525-2600 | 2006-07-25 |
| Street Address |
1909 214TH ST SE SUITE 300 |
| City | BOTHELL |
| State | WA |
| Zip Code | 98021-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659353290 | James David Brown | Internal Medicine | 1909 214th St Se, Suite 110, Bothell, WA 98021-4412 | 2005-11-18 |
| 1538606413 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1909 214th St Se, Suite 211, Bothell, WA 98021-4412 | 2017-01-30 |
| 1831641166 | Kathleen Bradley | Dietitian, Registered | 1909 214th St Se, #300, Bothell, WA 98021-4412 | 2016-11-03 |
| 1588098115 | Daniella Rose Cannone | Physical Therapist | 1909 214th St Se, Suite 300, Bothell, WA 98021-4412 | 2013-08-30 |
| 1043643885 | Lauren B Jentges | Physical Therapist | 1909 214th St Se, Suite 300, Bothell, WA 98021-4412 | 2013-08-15 |
| 1649535642 | Western Washington Medical Group Inc Ps | Dietitian, Registered | 1909 214th St Se, Suite 211, Bothell, WA 98021-4412 | 2012-07-06 |
| 1518225416 | Ada Otter | Nurse Practitioner | 1909 214th St Se, Suite 300, Bothell, WA 98021-4412 | 2012-04-27 |
| 1417226788 | Laboratory Corporation of America | Clinical Medical Laboratory | 1909 214th St Se, Ste 300, Bothell, WA 98021-4412 | 2011-12-15 |
| 1760765598 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1909 214th St Se, Bothell, WA 98021-4412 | 2011-09-28 |
| 1023324217 | Dynacare Northwest Inc | Clinical Medical Laboratory | 1909 214th St Se, Ste 300, Bothell, WA 98021-4412 | 2010-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057780 | Seyed Ali Hosseini | Medical Genetics | 4299 233rd Pl Se, Bothell, WA 98021 | 2020-06-10 |
| 1710440359 | Hiu Nam Wong | Specialist/Technologist | 23419 17th Avenue Southeast, Bothell, WA 98021 | 2019-04-10 |
| 1578029823 | Andrea Lynn Whipple | Speech-Language Pathologist | 1909 124th Street Se, Suite 204, Bothell, WA 98021 | 2019-02-12 |
| 1730656604 | Pavittar Kaur Mansahia | Registered Nurse | Northshore School District, 3330 Monte Villa Parkway, Bothell, WA 98021 | 2018-10-30 |
| 1699261636 | Kellie Joan Wilcox Moore | Naturopath | 2210 242nd St Sw, Bothell, WA 98021 | 2018-07-02 |
| 1174970495 | Tracey Comella | Behavioral Analyst | 2020 Maltby Road Suite 7 Pmb 294, Bothell, WA 98021 | 2016-05-17 |
| 1912332545 | Katherine Marie Zintel | Counselor | 1909 214th St Se Ste 204, Bothell, WA 98021 | 2013-09-13 |
| 1720332471 | Sharon Lynne Deering | Speech-Language Pathologist | 3330 Monte Villa Parkway, Northshore School District, Bothell, WA 98021 | 2012-11-02 |
| 1225302722 | Lynette Patricia Hansen | Massage Therapist | 510 222nd Street Sw, Bothell, WA 98021 | 2012-03-01 |
| 1669749891 | Susie Fox | Dietitian, Registered | 4026 224th St Se#6, Bothell, WA 98021 | 2011-11-16 |
| Find all providers in zip 98021 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558906933 | Marina Basily | Pharmacist | 19121 112th Ave Ne Apt 636, Bothell, WA 98011-0042 | 2019-11-09 |
| 1669027017 | Maha Magdy Banoub | Pharmacist | 19410 Meridian Pl W, Bothell, WA 98012-9710 | 2019-08-02 |
| 1639618002 | Sonu Bohra | Pharmacist | 20236 124th Ave Ne, Bothell, WA 98011-7655 | 2017-02-18 |
| 1043693229 | Michelle Taylor | Pharmacist | 3530 214th Pl Se, Bothell, WA 98021-7067 | 2015-07-07 |
| 1427471325 | Osler Gregorio Andres Andres | Pharmacist | 1909 214th St Se Ste 301, Bothell, WA 98021-4412 | 2014-01-28 |
| 1952733602 | Justin Scott Poole | Pharmacist | 18001 Bothell Everett Hwy Ste 101, Bothell, WA 98012-1660 | 2013-08-05 |
| 1326385766 | Jennifer Han Ju Wang | Pharmacist | 21540 30th Dr Se Ste 330, Bothell, WA 98021-7015 | 2013-01-04 |
| 1679817514 | Etsegenet E Simachew | Pharmacist | 22316 36th Ave Se, Bothell, WA 98021-0001 | 2012-11-15 |
| 1750636692 | Cindy Minh Bergmann | Pharmacist | 15715 36th Dr Se, Bothell, WA 98012-4747 | 2012-07-17 |
| 1326314857 | Shaila S Shukla | Pharmacist | 21045 Bothell Everett Hwy, Bothell, WA 98021-8405 | 2012-03-29 |
| Find all providers in BOTHELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.